CN107205760A - Washer plate - Google Patents
Washer plate Download PDFInfo
- Publication number
- CN107205760A CN107205760A CN201680005918.2A CN201680005918A CN107205760A CN 107205760 A CN107205760 A CN 107205760A CN 201680005918 A CN201680005918 A CN 201680005918A CN 107205760 A CN107205760 A CN 107205760A
- Authority
- CN
- China
- Prior art keywords
- plate
- bone
- main body
- head portion
- fixation element
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
- A61B17/7233—Intramedullary pins, nails or other devices with special means of locking the nail to the bone
- A61B17/7241—Intramedullary pins, nails or other devices with special means of locking the nail to the bone the nail having separate elements through which screws pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8061—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
Abstract
The invention discloses a kind of plate for being used to treat bone, the plate includes plate main body, and the plate main body extends to the second end along longitudinal axis from first end, and its size, shape and profile are designed to the expectation surface positioning along bone.The plate also includes slot type opening, the slot type opening extends through the plate main body, and the second elongated portion connected with the Part I extended by Part I and along the longitudinal axis from the Part I is limited, the head portion for being sized and shaped to allow bone fixation element of the Part I is fixed to the bone treated through it, the head portion for being dimensioned so as to prevent the bone fixation element of the Part II passes through it, so that when the head portion of the bone fixation element is received through the Part I, the plate can be relative to its slip, so that the Part II engages the head portion of the bone fixation element.
Description
Background technology
With the extension of the indication of joint replacement, Periprosthetic fracture becomes increasingly prevalent.In some cases, it is false
The placement of body may make bone be susceptible to suffer from fracture later and/or prosthese may interfere with bone other parts healing.Osteoporosis
Disease patient may be particularly vulnerable to the influence of Periprosthetic fracture.However, Periprosthetic fracture putting due to the prosthese that is previously implanted
Put and/or poor bone mass and be often difficult to treatment.
The content of the invention
The present invention relates to the plate for treating bone, the plate includes：Plate main body, the plate main body is along longitudinal axis from first end
Portion extends to the second end, and its size, shape and profile are designed to the expectation surface positioning along bone；Opened with slot type
Mouthful, the slot type opening extends through plate main body from first surface to second surface, should when expectation surface of the plate along bone is positioned
First surface deviates from bone, when plate is along when expecting surface positioning, the second surface towards bone, the slot type opening by Part I and
The second elongated portion connected with Part I extended along longitudinal axis from Part I is limited, the size of the Part I
It is designed that the head portion of bone fixation element is fixed to the bone treated through it with shape, the size of the Part II is set
Counting into prevents the head portion of bone fixation element from passing through it so that when the head portion of bone fixation element is received through Part I
When, plate can be relative to its slip so that Part II engages the head portion of bone fixation element.
Brief description of the drawings
Fig. 1 shows the perspective view of system in accordance with an exemplary embodiment of the invention；
Fig. 2 shows the front and rear view of Fig. 1 system；
Fig. 3 shows the lower top view of the system of Fig. 1 from the distal end of bone；
Fig. 4 shows the longitudinal sectional view of the intramedullary nail of the system according to Fig. 1；
Fig. 5 shows the side sectional view of Fig. 4 intramedullary nail；
Fig. 6 shows the plan view from above of the washer plate of the system according to Fig. 1；
Fig. 7 shows sectional view of Fig. 6 washer plate along line A-A；
Fig. 8 shows the side view of Fig. 6 washer plate；
Fig. 9 shows the washer plate of another exemplary according to the present invention；And
Figure 10 shows the washer plate of the alternative embodiment according to the present invention.
Embodiment
Refer to following embodiment and accompanying drawing further understands the present invention, wherein similar key element is referred to as
With identical drawing reference numeral.It is the present invention relates to the system for treating bone, and more particularly to for treatment fracture
System.The exemplary of the present invention describes the system including washer plate, and the washer plate can be along bone (for example, femoral far
End) surface be implanted into provide additional fixation and/or support to bone, without disturbing the retaining element being previously implanted, such as
The intramedullary nail and/or knee-joint prosthesis being implanted into during arthroplasty art code.Although the exemplary of the present invention
The washer plate being implanted into along distal femur is specifically illustrated and describes, but it will be apparent to one skilled in the art that washer plate is available
Any amount of fracture/fragility in any of various bones (such as shin bone or humerus) for the treatment of.The skill of this area
Art personnel it will also be appreciated that, although exemplary relative to produced after such as arthroplasty art code prosthese week
Fracture is enclosed to be described, but the system of the present invention is not limited to be used together with existing implantation prosthese.
As shown in Fig. 1-Fig. 7, the system 100 for being used to treat bone in accordance with an exemplary embodiment of the invention includes packing ring
Plate 102, the washer plate be configured to be fixed to after intramedullary nail 104 is placed the surface of bone with to bone provide additional fixation and/
Or support, the placement without disturbing intramedullary nail 104.Washer plate 102 may include the first slot type opening 114 and extend through its
Two holes 152, each of the first slot type opening 114 and the second hole 152 are configured to receive and engaged the head of lock-screw 112
Portion part 116, the lock-screw had previously been inserted into the lock hole 110 of intramedullary nail 104 with relative to bone fixation intramedullary nail
104.Slot type opening 114 engages the head portion 116 of lock-screw 112 to allow the edge of washer plate 102 with slit and keyhole mode
Bone positioning and/or removed from bone, without disturbing the intramedullary nail 102 being previously implanted.The lateral opening of second hole 152 is to washer plate
102 outside so that washer plate 102 is slided with by the first lock-screw 112 and the elongated portion of slot type opening 114 along bone
148 engagements so that the second opening 152 is slidably engaged via its lateral openings 158 with the second lock-screw 112.Therefore, pad
Position and orientation of the girth sheets 102 along bone can be determined in the case of without using extra apparatus is added.Washer plate 102 also includes many
Individual hole 118, the plurality of hole, which is configured to receive retaining element, to be used in washer plate 102 along after its positioning by washer plate
102 are fixed to bone.
As shown in Figure 4 and Figure 5, intramedullary nail 104 extends lengthwise into the second end 108 from first end 106, and including vertical
To extending through its passage 120.Intramedullary nail 104 also includes extending laterally through its multiple lock holes 110.Specifically, lock
Determining hole 110 can extend along the close first end of intramedullary nail 104 and the part of the second end 106,108.Intramedullary nail 104 may be used also
The plug-in unit 122 in passage 120 is received including the head portion 124 along at least intramedullary nail 104, close to first end 106
Lock hole 110 extends through the plug-in unit.Plug-in unit 122 can be formed by the polymeric material of such as polyethylene so that work as locking
When screw 112 is inserted through a lock hole in lock hole 110 along head portion 124, the formation of lock-screw 112 is by inserting
The path of part 122.Plug-in unit 122 is stable in lock hole 110 by lock-screw 112, to prevent any relative movement therebetween.
In another embodiment, intramedullary nail 104 does not include plug-in unit 122 in its passage 120.On the contrary, lock-screw 112 can be angle
Spend stable lock-screw, it stretches when being inserted into lock hole 110, so as in the way of angle stabilization by lock-screw
112 are fixed therein, so as to prevent relative movement therebetween.Angle stability between intramedullary nail 104 and lock-screw 112 is also
It is easy to washer plate 102 being locked to bone, because lock-screw 112 can engage washer plate 102 with backed off after random.
It is used to fix in the exemplary of fracture along distal femur 10 in wherein system 100, intramedullary nail 104
The distal end that the second end 108 may pass through such as femur 10 is inserted into its pulp cavity so that when intramedullary nail 104 is in femur 10
When in interior desired locations, head portion 124 is positioned at the distal end of femur 10.Once it is inserted in femur 10, such as originally
What the technical staff in field will be understood that, intramedullary nail 104 is fixed therein via one or more lock-screws 112.This area
Technical staff will be understood that intramedullary nail 104 may be previously implanted in femur 10 with the fixed fracture extended along one part.
Alternatively, intramedullary nail 104 can be inserted into femur 10, for the purpose for being fixed to the upper washer plate 102.
Intramedullary nail 104 also includes the planar section 140 along the part extension of its length.Specifically, planar section 140
It can extend along the part of the length of intramedullary nail 104, when intramedullary nail 104 is inserted into bone, axle portion of the part along bone
Divide extension.Intramedullary nail 140 may include the first planar section and the second planar section 140 each other diametrically.Such as this area
Technical staff will be understood that planar section 140 allows intramedullary nail 104 to have larger diameter, while still contribute to be inserted into
Into the spinal canal of bone.
As Figure 6-Figure 8, the size of washer plate 102, shape and profile are designed to along such as distal femur 10
Lateral surface 12 position.Washer plate 102 extends to the second end 144 along longitudinal axis from first end 142 so that packing ring
The width (that is, the distance between longitudinal edge 150 of washer plate 102) of the Part I 146 of plate 102 can be more than washer plate 102
Part II 148 width.The longitudinal edge 150 extended along Part I 146 can be substantially parallel to each other.In Fig. 9 institutes
In another exemplary shown, a washer plate 102' first longitudinal direction edge 150a=part can be relative to second
Longitudinal edge 150b=is at an angle of.Specifically, longitudinal edge 150a=can towards plate 102' first end 142' it is tapered so that
When lateral surfaces 12 of the washer plate 102' along such as distal femur 10 is positioned, washer plate 102', which is not disturbed, is implanted in femoral far
Any knee-joint prosthesis on end 10.
Washer plate 102 includes extending through its slot type opening 114 from first surface 126 to second surface 128, works as packing ring
Plate 102 laterally surface 12 position when, the first surface deviate from bone, when washer plate 102 laterally surface 12 position when, should
Second surface is towards bone.Longitudinal axis according to the slot type opening 114 of the embodiment along washer plate 102 extends through plate
102 Part II 148, and can be by the first substantially circular part 130 and from its Longitudinal extending and the first rounded portions
The second elongated portions 132 of 130 connections are divided to limit.In an exemplary embodiment, when washer plate 102 is fixed along distal femur 10
During position, the second elongated portion 132 proximally extends from circular portion 130.Being sized and shaped to for Part I 130 will
The head portion 116 of lock-screw 112 is received wherein, and the width of the second elongated portion 132 (for example, elongated portion 132
The distance between longitudinal side 134) it is less than the diameter of head portion 116 to prevent head portion 116 from passing through it.Part II
132 include concave surface 138 along the periphery 136 of first surface 126, and the concave surface is configured to dispose the head of lock-screw 112
Portion part 116.In use, surface positioning of the washer plate 102 along bone, the head portion 116 of wherein screw 112 is received the
In a part 130.Once head portion 116 is received in Part I 130, washer plate 102 is along bone longitudinal direction (for example, court
Distal side) slide so that head portion 116 engages Part II 132 and is placed in concave surface 138.
Washer plate 102, which may also include, extends through its second hole 152 from first surface 126 to second surface 128.Second
Hole 152 extends through the Part I 146 of the close first end 142 of plate 102, and via lateral at first end 142
158 lateral openings be open to the outside of plate 102.Second hole 152 be sized and shaped to by bone fixation element receive exist
Wherein and including being used for along first surface 126 around the concave surface 154 that the periphery in the second hole 152 extends by bone fixation element
Head portion placement wherein.The shaft portion for being dimensioned so as to permission lock-screw 112 of lateral openings 158 is laterally inserted into
Wherein.Washer plate 102 is extended through along longitudinal axis according to the second hole 152 of the embodiment so that the He of slot type opening 114
Second hole 152 is aligned substantially along it.Therefore, it is received in slot type opening in the head portion 116 of the first lock-screw 112
After in 114 circular portion 130, washer plate 102 can longitudinal sliding motion (for example, towards the distal end of bone) so that the first lock
Tight screw 112 engages the second elongated portion 132, and the head portion 16 of the second lock-screw 112 is engaged via lateral openings 158
The concave surface 154 in the second hole 152.
Washer plate 102 also includes multiple holes 118, and each hole in the multiple hole is sized and shaped to bone
Retaining element 156 receives wherein washer plate 102 being fixed to bone.Each hole in multiple holes 118 from first surface 126 to
Second surface 128 extends through washer plate 102, and its mesopore 118 is positioned on the either side of the longitudinal axis of plate 102.At one
In exemplary, washer plate 102 includes six holes 118, and three holes 118 are on the first side of longitudinal axis, and three
Individual hole 118 is on second side relative with the first side of longitudinal axis.It will be apparent to one skilled in the art that washer plate 102 can
With any amount of configuration include any amount of hole 118, for by washer plate 102 be fixed to bone, as long as washer plate 102
Part on the opposite side of longitudinal axis each includes at least one hole 118.As skilled in the art will appreciate, hole 118
In any or all can be variable-angle hole, it is configured to what is selected relative to the central axis in hole 118 with user
Angle receives the corresponding one of bone fixation element 156 wherein.Therefore, when washer plate 102 is positioned on bone, user
(for example, surgeon) can pass through bone fixation element 156 in hole 118 relative to the axis angulation selected by user in hole 118
It is inserted into bone to prevent from disturbing intramedullary nail 104 degree.As it will be further appreciated by those skilled in the art that not being variable-angle
Any one in the hole 118 in hole can be lock hole, and each lock hole in the lock hole receives bone fixation along predetermined axial line
Element 156, to prevent from inserting the interference intramedullary nail 104 of the bone fixation element 156 in each hole.
As shown in Figure 10, washer plate can be substantially similar to according to the washer plate 202 of another embodiment of the invention
102.However, the slot type opening 214 of washer plate 202 extends through the Part I 246 of plate 202, and the second hole 252 is extended beyond
The Part II 248 of plate 202.Slot type opening 214 include the first substantially circular part 230 and from its Longitudinal extending second
Elongated portion 232.However, when washer plate 202 is in desired locations along bone, the second elongated portion 232 is from Part I
230 extend towards the first end 242 of washer plate 202 towards distal side.In addition, the second hole 252 can be substantially similar to the second hole
152, it is included in the concave surface 254 extended around it, but via laterally opening at the second end 244 of washer plate 202
Mouthful 258 lateral openings are to the outside of washer plate 202.Therefore, when the head portion of screw is received in Part I 230,
The proximal end of washer plate 202 towards bone is slided, until the first screw head portion engagement slot type opening 214 it is to be positioned
The second elongated portion 230 in its concave surface 238, and the second screw received in the second hole 252 via lateral openings 258,
So that its head portion is placed in concave surface 254.
According to another embodiment, the slot type opening 114,214 of above-mentioned washer plate 102,202 and the second hole 152,252
In any one available lock hole and/or variable-angle hole replace.In the particular, washer plate could attach to and marrow
104 identicals of interior nail aim at arm so that lock-screw can be inserted into both washer plate and intramedullary nail 104 simultaneously.
Although washer plate 102,202 is depicted and described as being sized and shaped to along stock by exemplary
The lateral surface positioning of bone distal end, but in another embodiment, the length of Part II 148,248 can be selected as along
At least a portion of the shaft portion of bone extends towards its proximal end.In addition, washer plate 102,202 can be similarly configured into edge
The intermediate surface positioning of bone, rather than lateral surface.Wherein Part II 148,248 by elongated with along the shaft portion of bone
In the embodiment of extension, Part II 148,248 may include multiple variable-angle holes, lock hole and/or elongated slot.It is variable
Angle hole can be configured to the angle selected with the user allowed in angular range of the central axis relative to variable-angle hole
Degree receives bone fixation element wherein.Lock hole can extend along angled axis so that when bone fixation element inserts it
When middle, bone fixation element does not disturb the intramedullary nail being inserted into bone.Elongated slot can be configured to receive nail locking bolt
Wherein.In another embodiment, elongated Part II 148 may include multiple combination bores, combination bore include Part I and
Part II.Part I can be configured to the angle selected with the user allowed in angular range relative to its center axis
Degree receives the first bone fixation element wherein.Part II may include that the concave surface extended around it is used to consolidate in the second bone
Determine element to receive wherein so that the head of the second bone fixation element can be positioned in its concave surface.Those skilled in the art
Member will be understood that Part II 148,248 may include any of various openings, and it is configured to various bone fixation elements
(for example, variable-angle, locking, cortex screw) receives shaft portion wherein so that washer plate 102,202 to be locked to bone.
According to the exemplary surgical means using system 100, intramedullary nail 104 can be inserted through the marrow of distal femur 10
Pipe, until the head portion 124 of intramedullary nail is in the distal end of femur 10.Once intramedullary nail 104 is in the phase in femur 10
Hope in position, lock-screw 112 can be inserted through the lock hole 110 of intramedullary nail 104 will follow closely 104 relative to bone fixation.Such as
Upper described, intramedullary nail 104 formerly can be inserted into femur 10 during preceding code, in this case, and lock-screw 112 will be by
It is inserted into femur 10 until its adjacent bones of head portion 116.When expecting along 10 mounting gasket plate 102 of femur, along marrow
The head portion 124 of interior nail 104 extends through two lock-screws in the lock-screw 112 of lock hole 110 along rotational direction
Rotate slightly to extract bone screws out from bone so that the lateral surface 12 of head portion 116 and femur 10 separates small segment distance.It is right
The situation of the fixation in order to washer plate 102 in femur 10 is inserted into wherein intramedullary nail 104, lock-screw 112 should be inserted
Enter to extend through the lock hole 110 of head portion 124, until head portion 116 and the bone of lock-screw 112 are separately only small
Segment distance.
Then washer plate 102 can position along the lateral surface 12 of distal femur 10 so that the first end 142 of plate 102
Positioned towards the distal end of femur 10, and the proximal end of the second end of plate 102 towards femur 10 is positioned.Washer plate 102
Laterally surface 12 is positioned so that the head portion 116 away from bone of screw 112 is received in the first of slot type opening 114
In part 130.As described above, the head portion 116 of the first lock-screw 112 separates small segment distance with lateral surface 12.Should be away from
Part I 130 is passed through from that should be enough to allow head portion 116 so that head portion 116 extends beyond the first of washer plate 102
Surface 126.Therefore, when washer plate 102 is slided relative to femur 10 towards distal side, head portion 116 engages the second elongated portion
132 longitudinal edge 134 and it is placed in its concave surface 138.Meanwhile, the head portion 116 of the second lock-screw 112 via
Lateral openings 158 are received in the second hole 152 so that the head portion 116 of the second lock-screw 112 is placed in concave surface 154
It is interior.Therefore, washer plate 102 can be positioned along femur 10, and without using any additional positioning and/or aiming appliance.
Once washer plate 102 is in desired locations along femur 10, bone fixation element 156 just can be inserted into multiple holes
In 118 with by washer plate 102 be fixed to bone.Each bone fixation element in bone fixation element 156 is to be selected to prevent bone from consolidating
The angle for determining the interference intramedullary nail 104 of element 156 is inserted into the corresponding one in multiple holes 118.Because washer plate 102 is in plate
Include at least one hole 118 on each opposite side in the opposite side of 102 longitudinal axis, so at least one bone fixation element
156 should be in the opposite side of intramedullary nail 104 each opposite side on be inserted through front side and the rear side of femur 10.
For a person skilled in the art it is evident that, can be without departing from the scope of the present invention
Structures and methods of this disclosure make modification.Therefore, the disclosure purpose to be reached is the various modifications and change in the present invention
Type is fallen under the precondition in the range of appended claims or its equivalent, make the disclosure cover the disclosure modification and
Modification.
Claims (20)
1. a kind of plate for being used to treat bone, including：
Plate main body, the plate main body extends to the second end, and its size, shape and wheel along longitudinal axis from first end
Exterior feature is designed to the expectation surface positioning along bone；With
Slot type opening, the slot type opening extends through the plate main body from first surface to second surface, when the plate along
During the expectation surface positioning of the bone, the first surface deviates from the bone, when the plate is fixed along the expectation surface
During position, the second surface is towards the bone, and the slot type opening is by Part I and along the longitudinal axis from described the
The second elongated portion connected with the Part I of part extension is limited, and the size and dimension of the Part I is set
To count into allow the head portion of bone fixation element to be fixed to treat the bone through it, and the Part II is dimensioned so as to
Prevent the head portion of the bone fixation element from passing through it so that when the head portion of the bone fixation element is passed through
When the Part I is received, the plate can be relative to its slip so that the Part II engages the bone fixation element
The head portion.
2. plate according to claim 1, it is characterised in that also including the second hole, second hole is from the first surface
The plate main body is extended through to the second surface, and is opened to via lateral openings the outside of the plate main body.
3. plate according to claim 2, it is characterised in that second elongated portion is from the Part I described in
The second end extension of plate main body, and the lateral openings are at the first end of the plate main body.
4. plate according to claim 2, it is characterised in that second elongated portion is from the Part I described in
The first end extension of plate main body, and the lateral openings are at the second end of the plate main body.
5. plate according to claim 1, it is characterised in that also including multiple lock holes, the lock hole is from described first
Surface extends through each lock hole in the plate main body, the multiple lock hole to the second surface and is configured to relatively
The angle selected in its center axis with user will lock bone fixation and receive wherein.
6. plate according to claim 5, it is characterised in that first lock hole in the multiple lock hole is described vertical
Extend through the plate main body on to the first side of axis, and second lock hole in the multiple lock hole is described vertical
The plate main body is extended through on to second side relative with first side of axis.
7. plate according to claim 1, it is characterised in that the longitudinal edge of the plate main body towards the first end gradually
Contracting.
8. plate according to claim 1, it is characterised in that between the longitudinal edge of the Part I of the plate main body away from
From the distance between longitudinal edge of Part II more than the plate main body.
9. a kind of system for treating bone, including：
Intramedullary nail, the intramedullary nail is from first end to the second end Longitudinal extending, and including extending laterally across its nail
Lock hole；
Plate, size, shape and the profile of the plate are designed to be inserted through institute along the surface positioning of bone, the intramedullary nail
Surface is stated, the plate includes extending through its slot type opening from first surface, when the plate is positioned along the expectation surface
When, the first surface is limited towards the bone, the slot type opening by the Part I and Part II of the opening that communicates with each other,
The head portion for being sized and shaped to permission bone fixation element of the Part I is inserted into the bone and worn
The nail lock hole treated through it is crossed, the Part II is from the Part I Longitudinal extending and is dimensioned so as to prevent
Only the head portion of the bone fixation element passes through it so that when the head portion of the bone fixation element passes through institute
When stating Part I reception, the plate can be relative to its slip so that the Part II engages the institute of the bone fixation element
State head portion.
10. system according to claim 9, it is characterised in that also including the second hole, second hole is from first table
Face extends through the plate main body to the second surface, and is opened to via lateral openings the outside of the plate main body.
11. system according to claim 10, it is characterised in that second hole includes the recessed table extended around its periphery
Face.
12. system according to claim 9, it is characterised in that also extending longitudinally through the intramedullary nail including receiving
Passage in plug-in unit, the plug-in unit along the intramedullary nail a part extend, it is described nail lock hole prolong through the part
Stretch with the stable locking retaining element received in the nail lock hole.
13. system according to claim 9, it is characterised in that the Part II of the slot type opening include along
The first surface surrounds the concave surface that its periphery extends.
14. system according to claim 9, it is characterised in that also including multiple plate lock holes, the plate lock hole is from institute
State first surface and each plate lock hole quilt in the plate main body, the multiple plate lock hole is extended through to the second surface
It is configured to that bone fixation element reception will be locked wherein relative to the angle that its center axis is selected with user.
15. system according to claim 14, it is characterised in that first plate lock hole in the multiple plate lock hole
Second plate lock in the plate main body, and the multiple plate lock hole is extended through on the first side of the longitudinal axis
Determine hole and extend through the plate main body on second side relative with first side of the longitudinal axis.
16. a kind of method for treating bone, including：
Along the surface location-plate of bone so that the head portion of the first bone fixation element fixed to the bone is received in slot type
In the Part I for extending through the plate of opening；And
By the plate relative to the bone longitudinal sliding motion so that the head portion engagement of first bone fixation element is described
The Part II of slot type opening, the Part II is opened to the Part I and connected with the Part I.
17. method according to claim 16, it is characterised in that when the plate is relative to the bone longitudinal sliding motion, the
The head portion engagement of two bone fixation elements extends through the second hole of the plate main body via lateral openings.
18. method according to claim 16, it is characterised in that also including intramedullary nail is inserted into the spinal canal of the bone
And by the bone fixation element be inserted into its follow closely lock hole in by the intramedullary nail relative to the bone fixation, until described
The head portion of bone fixation element is spaced apart with the bone is enough to allow the head portion through the slot type opening
The Part I and more than the hone lamella the surface away from the bone distance.
19. method according to claim 16, it is characterised in that also including unclamping the bone fixation element so that described
The head portion of bone fixation element is spaced apart with the bone is enough to allow the head portion through the slot type opening
The Part I and more than the hone lamella the surface away from the bone distance.
20. method according to claim 16, it is characterised in that also indulged including the first locking member is inserted through at it
The first plate lock hole of a part for the plate is extended through on to the first side of axis, and the insertion of the second locking member is worn
Cross the second plate lock for the part that the plate is extended through on second side relative with first side of the longitudinal axis
Determine hole.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US14/599,419 US10314626B2 (en) | 2015-01-16 | 2015-01-16 | Washer plate |
| US14/599419 | 2015-01-16 | ||
| PCT/US2016/013006 WO2016115106A1 (en) | 2015-01-16 | 2016-01-12 | Washer plate |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107205760A true CN107205760A (en) | 2017-09-26 |
| CN107205760B CN107205760B (en) | 2020-09-22 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201680005918.2A Active CN107205760B (en) | 2015-01-16 | 2016-01-12 | Gasket plate |
Country Status (8)
| Country | Link |
|---|---|
| US (1) | US10314626B2 (en) |
| EP (1) | EP3244818B1 (en) |
| JP (1) | JP7062440B2 (en) |
| CN (1) | CN107205760B (en) |
| AU (1) | AU2016206883B2 (en) |
| BR (1) | BR112017014918A2 (en) |
| CA (1) | CA2973589C (en) |
| WO (1) | WO2016115106A1 (en) |
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| CN114340528A (en) * | 2019-08-28 | 2022-04-12 | 德普伊新特斯产品公司 | Board connection |
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| JP6835321B2 (en) * | 2019-04-18 | 2021-02-24 | 国立大学法人福井大学 | Plate for fixing bones |
| US10743922B1 (en) | 2019-09-27 | 2020-08-18 | Trilliant Surgical Llc | Variable angle locking construct for orthopedic applications |
| WO2021240242A1 (en) | 2020-05-29 | 2021-12-02 | Stryker European Operations Limited | Funnel hole for intramedullary nail |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN107205760B (en) | 2020-09-22 |
| JP2018501906A (en) | 2018-01-25 |
| US10314626B2 (en) | 2019-06-11 |
| AU2016206883A1 (en) | 2017-07-20 |
| JP7062440B2 (en) | 2022-05-06 |
| CA2973589C (en) | 2023-07-25 |
| BR112017014918A2 (en) | 2018-03-20 |
| EP3244818A1 (en) | 2017-11-22 |
| WO2016115106A1 (en) | 2016-07-21 |
| AU2016206883B2 (en) | 2020-07-16 |
| US20160206356A1 (en) | 2016-07-21 |
| CA2973589A1 (en) | 2016-07-21 |
| EP3244818B1 (en) | 2023-08-02 |
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